394
THE NEW ZEALAND GAZETTE.
[No. 16

1. What is your name in full?
2. Where do you now reside?--At , of
   in or near the Town of
3. What is your business address?
4. What are your age and height?-- years
   months. Chest measurement?-- inches.
5. What is your trade or calling?
6. In whose employ are you, and are you an apprentice?--
   Mr. , in or near the Town of
7. Are you willing to be enrolled to serve as a Volunteer in
   the above corps?
8. Do you belong to, or have you ever served in, any, and,
   if so, in what, Naval or Military Force?
9. If you have belonged to any Volunteer corps, did you
   voluntarily resign, or were you dismissed?
   I, , do hereby declare the foregoing replies to be
   true.
   [Signature of Volunteer.]
   [Witness.]

OATH TO BE TAKEN BY VOLUNTEERS.
I, , do sincerely promise and swear that I will be
faithful and bear true allegiance to Her Majesty Queen
Victoria, and that I will faithfully serve in the Volunteer Force
until I shall be lawfully discharged.
Witness my hand.
[Signature of the Volunteer.]
[Witness present.]

Sworn before me, at , this day of
, one thousand eight hundred and .
[Signature of Attesting Officer.]

CERTIFICATE OF ATTESTING OFFICER.
To wit. } I, , do hereby certify that in my presence
} all the foregoing questions were put to
that the answers written opposite to them are those which he
gaveme, and that he took the oath of allegiance and fidelity,
and that I consider him physically fit.
[Signature of Attesting Officer.]

CERTIFICATE OF COMMANDING OFFICER.
having been duly enrolled to serve in the
Volunteer Corps, I have caused his name and every prescribed
particular to be recorded in the muster-roll, with the regi-
mental No. affixed to his name.
[Signature of Officer Commanding District.]

FORM V.-2.
Volunteers.
I CERTIFY that No. , who was enrolled in the
Volunteers on the , has applied for his discharge, and
that he has paid all fines, penalties, or subscriptions debited
against him, which have been duly credited to the funds of the
corps, and returned clean and in good order the arms, accoutre-
ments, and Government property which were on issue to him
[except the under-mentioned, the cost of which he has paid
for: to be scored out if everything on issue was returned
complete].
Commanding Volunteers.
Place:
Date:

FORM V.-3.
DISCHARGE CERTIFICATE.
I CERTIFY that No. was enrolled in the Volun-
teers on the , and that he has been returned as an
efficient Volunteer for the years noted in the margin, and is
now discharged from the Volunteer Force at his own request
[or as the case may be].
Commanding District.
Place:
Date:

FORM V.-4.
TRANSFER CERTIFICATE.
I CERTIFY that No. , who has applied for a transfer to
the Volunteers, was enrolled in the
Volunteers on the , 18 , and that he has paid all
fines and subscriptions due, and returned all Government
property on issue to him clean and in good order.

I further certify that he has up to date attended the following
Government drills:—
Government drills:
Daylight drills:
Place: Commanding Volunteers.
Date:

FORM V.-5.
FORM OF CERTIFICATE to be used on handing or taking over
the Arms, Accoutrements, &c., of a Corps.
I CERTIFY that I have handed over to the arms,
accoutrements, and Government property on issue to the
Volunteers correct and in good order, and further
that all books, records, &c., connected with the interior economy
of the company have been duly filled in to date and handed
over at the same time.
[Signature and rank]
Commanding Volunteers.
Date:
I certify that I have received over the arms, accoutrements,
and Government property, company's books, and records re-
ferred to in above certificate from , and am perfectly
satisfied with the correctness and state of the same.
[Signature and rank]
Commanding Volunteers.
Date:

FORM V.-6.
CERTIFICATE OF EFFICIENCY FOR A RECRUIT.
I CERTIFY that , of the Volunteers, was enrolled
on the , 18 , and that he has attended hours'
recruit drill, fired rounds ball cartridge at target
practice, and gone through period judging-distance
practice.
I further certify that he is proficient in his drill, and quali-
fied to take his place in the ranks of his corps as an efficient
Volunteer.
[Signature of officer of paid staff.]
Date:

FORM V.-7.
NEW ZEALAND REGIMENT ARTILLERY VOLUNTEERS.
RETURN of ORDNANCE and STORES belonging thereto, in Possession of
above Regiment, stationed at , for the Year ending
, 189 .
Battery of

Ordnance.
Guns.
6-pounders.
9-pounders.
12-pounders.
40-pounders.
24-pounder Howitzer.
Piking.
Axes.
Beds.
Bits.
Bolts, Rye, Horseshoeing.
Borers
Hook.
Ammunition Limber.
Axletree.
Centre.
Cartridge, Tin.
Fuzes.
Grease.
Nail.
Tubs.
Boxes.